Provider Demographics
NPI:1043832546
Name:LOWE, PATRICK D (LCDC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:D
Last Name:LOWE
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11503 PARSONS RD
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-5220
Mailing Address - Country:US
Mailing Address - Phone:512-278-4450
Mailing Address - Fax:512-278-4553
Practice Address - Street 1:11502 PARSONS RD
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-5220
Practice Address - Country:US
Practice Address - Phone:512-278-4550
Practice Address - Fax:512-278-4553
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11981101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)